Terence Olds
Individual provider Active NPI Peer Specialist · Spencer, OK
NPI 1336000652 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1336000652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 3900 Greenwood Ave
Spencer, OK 73084-7491 - Phone
- (405) 835-0997
- NPI assigned
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OK | Yes |
Addresses
Primary practice location
3900 Greenwood Ave
Spencer, OK 73084-7491
Mailing address
3900 Greenwood Ave
Spencer, OK 73084-7491
Other providers in Spencer, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.